Name of the Patient : Abc Xyzalmn / M / 28 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with paresthesias since 20-22 days.
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick STIR coronal images.
There is retroplacement of the L5 over the S1 vertebral body.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
A large right postero-lateral disc herniation with peridiscal osteophytes is seen at the L5-S1 level with antero-lateral indentation of the thecal sac and the right S1 nerve root. Slight inferior migration of the disc is seen posterior to the S1 vertebral body. The L5-S1 facet joints show degenerative changes.
A diffuse posterior disc herniation with peridiscal osteophytes is noted at the L4-L5 level with anterior indentatio of the thecal sac and bilateral neural foraminal narrowing.
- 2 - Scan-00001
Effusion is seen within the L4-L5 facet joints bilaterally and L3-L4 facet joint on the left side.
A hemangioma is seen in the L3 vertebral body to the left of the midline with involvement of the left pedicle and left transverse process.
Schmorls nodes are seen on the superior and inferior surfaces of the L4 vertebra.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
1. Retroplacement of the L5 over the S1 vertebral body.
2. A large right postero-lateral disc herniation at the L5-S1 level indenting the right S1 nerve root with slight inferior migration of the disc, posterior to the S1 vertebral body with facetal arthropathy.
3. A diffuse posterior disc herniation at the L4-L5 level.
4. Hemangioma of the L3 vertebra.